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Asian Journal of Neurosurgery

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https://www.readbyqxmd.com/read/27695576/anal-extrusion-of-migrated-ventriculo-peritoneal-shunt-catheter-an-unusual-complication-and-review-of-literature
#1
Avijit Sarkari, Sachin A Borkar, A K Mahapatra
Authors present an unusual case of anal extrusion of peritoneal end of ventriculo-peritoneal shunt in a 2-year-old male child. Pertinent literature is reviewed regarding this rare complication of a very commonly performed neurosurgical procedure.
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695575/peripheral-nerve-lipoma-case-report-of-an-intraneural-lipoma-of-the-median-nerve-and-literature-review
#2
Alisson Roberto Teles, Guilherme Finger, Marcelo N Schuster, Pedro Luis Gobbato
Adipose lesions rarely affect the peripheral nerves. This can occur in two different ways: Direct compression by an extraneural lipoma, or by a lipoma originated from the adipose cells located inside the nerve. Since its first description, many terms have been used in the literature to mention intraneural lipomatous lesions. In this article, the authors report a case of a 62-year-old female who presented with an intraneural median nerve lipoma and review the literature concerning the classification of adipose lesions of the nerve, radiological diagnosis and treatment...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695574/primary-central-nervous-system-teratoma-with-sarcomatous-transformation-in-a-young-girl-report-of-a-rare-case
#3
Gautam Kumar Mandal, Indranil Das, Rahul Paul, Saunak Mitra Mustafi
A 13-year-old girl presented with chief complaints of severe headache and vomiting followed by hemiparesis. Radiological examination suggested a space occupying lesion in the right parietal lobe. Craniotomy and debulking of the tumor mass were done. Histopathological and subsequent immunohistochemical examination showed a tumor composed of fascicle of atypical spindle cells which revealed reactivity to vimentin with interspersed areas of well-differentiated cartilage tissue. Hence, the diagnosis of teratoma with sarcomatous transformation was given...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695573/traumatic-bilateral-basal-ganglia-bleed-a-report-of-rare-two-cases-and-review-of-the-literature
#4
Vivek Kumar Kankane, Tarun Kumar Gupta, Gaurav Jaiswal
Traumatic basal ganglia hemorrhage (TBGH) is relatively uncommon. Bilateral basal ganglia hematoma after trauma is extremely rare and is limited to case reports. We report two cases of traumatic bilateral basal ganglia hemorrhage and review the literature in brief. Both cases were managed conservatively. The general incidence of TBGH is reported between 2.4% and 3% of closed head injury. However, the incidence is higher in postmortem studies (9.8%). Bilateral traumatic basal ganglia hematoma is extremely rare...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695572/solid-cystic-trigeminal-schwannoma-with-intraorbital-extension-causing-proptosis-and-vision-loss
#5
Pankaj Gupta, Arvind Sharma, Jitendra Singh
Schwannomas are slowly growing, well capsulated, benign tumors. Involvement of vestibular nerve is most commonly followed by trigeminal nerve. Trigeminal schwannoma is rare entity, and cystic degeneration with intraorbital extension of trigeminal schwannoma is even rarer. These tumors occur in fourth and fifth decades of life and patients have variable presentation depending on which cranial compartment is involved. Orbital schwannoma usually presents with proptosis with or without vision loss. We are reporting such a rare case of solid cystic trigeminal schwannoma with intraorbital extension through superior orbital fissure that was removed surgically...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695571/resolution-of-aspergillosis-in-neuroimaging-of-an-immunocompromised-patient-with-pulmonary-and-cerebral-lesions
#6
Mohsen Meidani, Atousa Hakamifard, Amir Hossein Sarrami
Central nervous system (CNS) aspergillosis is uncommon and considered the most lethal form of aspergillosis. Indeed, current therapeutic strategies such as combination antifungal regimen, neurosurgical resection of infected tissue, and removal of infection source fail to improve the unsatisfactory prognosis of CNS aspergillosis in the majority of the patients. The authors describe a case of chronic pulmonary aspergillosis with concomitant CNS lesions that dramatically responded to antifungal therapy and the CNS lesions resolved in follow-up imaging...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695570/ganglioglioma-of-conus-medullaris-in-a-patient-of-neurofibromatosis-type-1-a-novel-association
#7
Ilangovan Vijay Sundar, Manish Jaiswal, Devendra Purohit, R S Mittal
Ganglioglioma of the conus region is quite rare with only 12 reported cases. Ganglioglioma shares biologic features with neurofibromatosis leading to suggestions that the co-existence of the two diseases may be more than coincidental. We report a case of ganglioglioma of the conus medullaris in a patient of neurofibromatosis and explore the possible association of the two diseases.
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695569/nocardia-farcinica-abscess-of-the-cerebellum-in-an-immunocompetent-patient-a-case-report-and-review-of-the-literature
#8
María Pascual-Gallego, Pedro Alonso-Lera, Ana Arribi, Juan A Barcia, Javier Marco
Nocardial brain abscesses are uncommon and rarely occur in patients without predisposing factors. They may be mistaken for gliomas or necrotic metastases, and surgical intervention may be required to make the diagnosis. We report the first case of Nocardia farcinica cerebellar abscess in a patient without immunosuppression. He presented to us with headache and instability beginning a week before. Brain magnetic resonance imaging (MRI) revealed a cystic lesion located at the right cerebellar hemisphere, hypointense in T1 and hyperintense in T2, with a fine wall that enhanced after injection of gadolinium...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695568/papillary-tumor-of-pineal-region-a-rare-entity
#9
Meena Patil, Manjiri Karandikar
Pineal tumors comprise 0.4 - 1.0% of intracranial space-occupying lesions in adults. Papillary tumor of pineal region (PTPR) is a very rare entity. It has been newly described in WHO 2007 classification of brain tumors. Only a few case reports are available in the literature. We report a case of a 60 year-old female presenting with headache, giddiness and reduced vision. Imaging studies showed a pineal mass with areas of hemorrhage. All ventricles were normal. There was a past history of a pineal gland tumor excised 2 years ago...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695567/anterior-cervical-discectomy-and-fusion-with-titanium-cages-for-simple-or-multilevel-herniated-discs-and-spur-of-the-cervical-spine-report-of-2-cases-and-experience-in-bali
#10
G B Mahadewa Tjokorda, Golden Nyoman, Maliawan Sri, Mizuno Junichi
This report presents two cases of cervicobrachialgia and radiculopathy due to multiple cervical herniated discs and spur formation that dealt with anterior cervical discectomy and fusion (ACDF) using different titanium interbody cages. The description of the clinical presentation, magnetic resonance imaging (MRI) appearances and management strategy are discussed. Both cases showed chronic neck pain and radiating pain from the shoulder to the arm. They had a history of blurry vision, cluster head ache, weakness, and numbness on the shoulder for 2 years...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695566/a-case-of-symptomatic-synchronous-cervical-and-cerebellar-metastasis-after-resection-of-thoracal-metastasis-from-temporal-glioblastoma-multiforme-without-any-local-recurrence
#11
Yasar Karatas, Sahika Liva Cengiz, Mehmet Erkan Ustun
Glioblastoma multiforme (GBM) is the most common and the most malignant primary intracranial tumor in adults and it is usually occurs between the age of 40 and 60 years. It is local invasive and recurrent tumor and hence that has a poor prognosis. However, recent advances in tumor surgery, irradiation and chemotherapeutic agent permit long survival and metastasis which is symptomatic. Previously studies reported spinal metastasis, but we report a first case of synchronous symptomatic cerebellar and cervical spinal metastasis after resection of symptomatic thoracic spinal metastasis from temporal GBM without any recurrence of excision areas...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695565/coexistent-dysembryoplastic-neuroepithelial-tumour-and-pilocytic-astrocytoma
#12
Jitendra G Nasit, Payal Shah, Himanshu Zalawadia
Dysembryoplastic neuroepithelial tumour (DNET) is an uncommon mixed glioneuronal tumour. DNET is classified as Grade I neoplasm in revised World Health Organization classification of tumors of the nervous system. DNET is commonly seen in the temporal lobe of children and young adults with features of pharmacoresistant complex partial seizures. Tumors arising in association with DNETs are rare. Only two cases of pilocytic astrocytoma (PA) arising in DNETs are reported. Surgical excision is the only successful management with favourable prognosis...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695564/recurrence-of-spinal-schwannoma-is-it-preventable
#13
Satya B Senapati, Sudhansu S Mishra, Manmath K Dhir, Ashis Patnaik, Souvagya Panigrahi
Spinal schwannomas account for about 25% of primary intradural spinal cord tumors in adult. The prognosis for spinal schwannomas is excellent in most cases. Complete resection is curative. However following subtotal removal, recurrence develops after several years. We describe a case of recurrent spinal schwannoma who had been operated twice before for same disease. The possible cause of recurrence and difficulties in reoperation are discussed.
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695563/osteoblastic-meningioma-with-turtle-shell-different-entity-from-calcified-meningioma
#14
Pravin Salunke, Ashish Aggarwal, Sameer Futane, Ritambhara Nada, Debasis Gochhait
Bone formation within meningioma is secondary to metaplasia of the meningothelial cells into osteoblastic cells. This needs to be differentiated form the commonly seen calcification. We describe a rare case of osteobalstic meningioma in which bony trabeculae were seen within meningothelial cells.
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695562/postoperative-seizure-following-transforaminal-percutaneous-endoscopic-lumbar-discectomy
#15
Hayri Kertmen, Bora Gürer, Erdal Resit Yilmaz, Zeki Sekerci
Endoscopic surgery for lumbar disc herniation has been available for more than 30 years. Transforaminal percutaneous endoscopic lumbar discectomy is a well-known, safe, and effective method used for the treatment of the lumbar disc herniation. The published complications of the transforaminal percutaneous endoscopic lumbar discectomy consist of infections, thrombophlebitis, dysesthesia, dural tear, vascular injury, and death. Seizure after transforaminal percutaneous endoscopic lumbar discectomy is an extremely rare complication...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695561/solitary-fibrous-tumor-of-the-sellar-region-treated-with-adjuvant-radiation-therapy
#16
Puja Sahai, Geetika Singh, Dodul Mondal, Vaishali Suri, Pramod Kumar Julka
The solitary fibrous tumor of central nervous system is rare. Herein, a case of solitary fibrous tumor arising from sellar region is described. A 60-year-old man underwent subtotal excision of the tumor because of extensive infiltration of optical and vascular structures. In view of the presence of residual tumor, he was treated with adjuvant radiation therapy. After a follow-up period of 1 year, there was no progression of the lesion evident on magnetic resonance imaging of the brain. Solitary fibrous tumor should be considered as one of the differential diagnosis of a mass lesion arising in sellar region...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695560/late-onset-of-subdural-hematoma-after-bifrontal-contusion
#17
Bora Gürer, Hayri Kertmen, Habibullah Dolgun, Zeki Sekerci
Cerebral cortical contusions are one of the most common computed tomography findings in head-injured patients and common sequel of traumatic brain injury. These contusions tend to show a progressive increase in mass effect on repeated imaging, most small contusions do not require surgical evacuation. However, progression to subdural hematoma (SDH) in a late aspect is unique. Here we present a 71-year-old man with bifrontal contusion, who deteriorated 43 days after initial trauma with sudden onset of acute SDH...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695559/lymphoplasmacyte-rich-meningioma-with-invasion-of-bone-a-case-report-and-review-of-literature
#18
Dhruba J Kurmi, Achal Sharma, R S Mittal, Shashi Singhvi
Lymphoplasmacyte-rich (LPR) meningioma is a rare variant of meningioma, which is characterized by conspicuous infiltration of plasma cells and lymphocytes and a variable proportion of meningothelial elements, and is classified as a grade I tumor in World Health Organization (WHO) classification of tumors of central nervous system. The origin and biological behavior of this rare variant of meningioma is still not clear. Till date, very few cases of LPR meningioma have been reported globally. Here, we are presenting a case of right parietal convexity LPR meningioma with invasion of bone in a 32-year-old male patient, who presented to us with complaints of focal seizures and weakness in left upper limb...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695558/delayed-intracerebellar-hemorrhage-secondary-to-lumboperitoneal-shunt-insertion
#19
Uygur Er, Çetin Akyol, Murad Bavbek
Aim of this paper is to present and discuss a case of a delayed cerebellar parenchymal hemorrhage developing after L/P shunt placement with a NPH patient. A hypertensive patient admitted to our clinic with a diagnosis of NPH. The patient was placed a pressure adjustable L/P shunt without any surgical complication. He was discharged with an uneventful period. The patient was admitted to the emergency clinic of our hospital with a 1.5 × 1.5 cm diameter hematoma at the left cerebellar hemisphere on 2 days after his discharge...
October 2016: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/27695557/baastrup-s-disease-in-the-pediatric-spine
#20
Suryapratap Singh
Baastrup's disease is an uncommon entity in the elderly spine and it is very rare in the pediatric age group. There are only few case reports in the literature containing Baastrup's disease in pediatric spine. Baastrup's disease is also known as kissing spine because the posterior spinous processes touch or "kiss" one another, characterized by enlarged posterior spinous projections with normal neuroforamina and normal spinal disk height. There are various pathological and etiological hypotheses behind Baastrup's disease...
October 2016: Asian Journal of Neurosurgery
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